| NPI | 1245383900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVANKA SRBINOVSKA Visepresident 714-832-2672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 22708) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |